Practice Nurse

Nursing

Duties and Responsibilities will include

Management of chronic disease Identifying significant abnormalities Monitoring and development of individual management plans; agreeing these as appropriate with the patient and other health professionals If required, home visits for QOF / Chronic Illness Reviews / Vaccinations Therapeutic monitoring Checking compliance with and adherence to appropriate treatments using an holistic patient-centred approach Recognising abnormalities Identifying the impact of treatment and implementing or recommending changes as appropriate. Wound Care and management Assessing routine wounds including trauma Assessing to support good wound management in complex situations (e.g. use of Doppler technique) Patient health checks Identifying significant abnormalities Obtaining appropriate information using a lifestyle questioning approach and identifying appropriate health promotion issues Working with patients to develop a management plan where health problems or potential health problems are identified Risk assessment Recognising issues and gathering sufficient information to refer (e.g. drugs; domestic violence; child protection; vulnerable adults; senior patients; social problems) Health screening Recognising issues and gathering sufficient information to refer (e.g. womens and mens health, sexual health, older people) Undertaking monitoring tasks (e.g. smears) and providing advice as appropriate Providing in depth monitoring and advice as appropriate to the level of the post-holders specialty and working with the patient in deciding on management plans. Travel health Administering injections and providing guidance in accordance with PGD/VGD guidelines Identifying problems Immunisation (adult and child) Administering appropriate immunisation autonomously Working with patients with more complex immunisation issues. Administer injections under an individualised prescription or PGD/VGD Ensure safe storage, rotation and disposal of vaccines and drugs First contact Working independently or alongside the general practitioner and making decisions/ recommendations as appropriate. Insertion and Removal of Contraceptive Devices Assisting the general practitioner with insertion and removal of contraceptive devices Ear care Providing routine ear care Dealing with more complex problems and referring to a Doctor if prescribing is appropriate. Mental health Communicating with key workers Administering appropriate prescribed therapies and monitoring for side effects. Emergency Management Ensure competency in anaphylaxis and resuscitation techniques by maintaining and updating CPD. Infection control Support patients and colleagues in adopting sound infection control measures Apply infection control measures within the practice according to local and national guidelines -

This includes

Universal hygiene precautions The collection and handling of laboratory specimens Segregation and disposal of waste materials Reporting and treatment of sharps injuries o Dealing with blood and body fluid spillages

General responsibilities will include

Assist in and perform routine tasks related to patient care as directed by GPs Cytology Cryotherapy Wound care / ulcer care Removal of Sutures New Patient Medicals if deemed appropriate/Urinalysis Travel Advice ECGs Asthma Diabetic reviews Venepuncture Hypertension Management Ear Irrigation Smoking cessation Chaperoning and assisting patients where appropriate who are being examined by another clinician Assisting GPs with Insertion and removal of contraceptive devices Requesting pathology tests, for example urine culture, swabs Following agreed clinical protocols with referral to GPs as appropriate Maintaining and cleaning equipment used by the nurses and GPs Maintaining Nurses and GPs rooms, stocking and rotating items as required Maintain general tidiness and cleanliness of nurses and treatment rooms Ordering of Health Promotion Literature Ordering of stock Ordering of vaccinations to maintain stock levels and participate in data return audits Participation in administrative systems in the practice Maintain accurate records at all times Attend and participate in any practice meetings when required. On occasion there may be a requirement to undertake home visits i.e. flu vaccinations Any other delegated duties appropriate to the post Administration of the Clinical Quality and Outcomes Framework (QOF) Assist in accurate recording of data input to support the QOF. Liaise with Practice Business Manager to ensure maximum benefit is gained from the Quality and Outcomes Framework in support of patient care Please see attached for full Job Description